Vito's head is damaged -- but his discussion reminds us all of when Big Vin came out of his deep sleep over at ICU a while back. He allegedly opened his eyes, looked around the hospital room, and saw Bazzukajoe sitting on a chair in the corner.
"You take down those Christmas lights yet?"
When Bazzukajoe shook his head Big Vin buzzed the nurse to ask to be put back under.
It went something like that. Not as dramatic as it being the year 2049 (but now that we have to wake up Cookie and Mojo for school each morning, we're pretty sure they sleep deeper than ever before -- and it may as well be 2049 with their unwillingness to get out of bed).